喉症有难辨，不可不辨者。凡男妇脏腑内蕴梅毒，周身虽未现疮点，及小孩胎中受遗
毒，忽发喉痛，不甚赤肿，帝丁四面便烂，几处白腐深孔，病者自昧不知，医者须询其染梅毒
否？得其病根，治始有效。内进苦寒药清降其火，外以冰硼散，少加轻粉、升药，乳吹。迟则
损落帝丁，随穿鼻孔，并连唇口烂开，每使伤命。或烂透囟门，为开天窗，变成破相。若痨
症之虚火灼肺，虽喉疼只烂浮皮，无深孔，多不治，如风热喉症，其烂处在喉两旁耳。
痈疽溃经日久，不得收功。患口日见凸陷翻花，或小者如梅如李，或大者如碗如盘，僵
硬作痛，疮势可畏，或脓水腥臭，逼人难近，或患上起有白腐浓皮，然后皮面又生密密芒刺，
及变一切奇形怪状，世所罕见者，皆罪孽所致，无药可疗，总归延迟月日而已。
效野每逢夏令，多出土灰蛇，其穴外，有蛇吐毒沫，犬之口鼻，一触其毒，遂成疯狂。亦
有因食臭尸，或饥饿太过而疯者。倘人被咬破伤，或止咬衣服，皆有毒内犯，即作犬吠声，数
日乃毙。有一月或二月如觉周身麻木，神气昏乱，或见饮食嗅鼻有声者，虽多治法，未有能
生者。
妇女乳中心生结核，初如梅，渐如李，不大痛，延久始能化脓，名乳心疽。若寡居室女，
便成乳岩，并男子患此，均难治，当以化坚汤多服。
党参 当归 青皮 玉竹 香附 僵蚕 白芍 佛手 郁金
咽喉病症中有难以辨别的情况，必须加以仔细鉴别。凡是男女体内蕴藏梅毒毒素，虽然全身尚未出现疮点，以及小孩在胎中遗传了毒邪，突然发作喉痛，咽喉红肿不明显，但会厌（帝丁）四周迅速溃烂，多处形成深孔状的白色腐肉，患者自己因无知而未能察觉，医生必须询问其是否感染过梅毒？只有查清病因，治疗才能见效。内服苦寒药物以清降火热，外用冰硼散，少量加入轻粉、升药，通过乳吹器吹入患处。若延误治疗，会导致会厌脱落，穿孔通至鼻腔，并牵连唇口溃烂开裂，往往危及生命。或者烂穿囟门，形成“开天窗”的惨状，变成毁容之症。若是痨病（肺结核等慢性消耗性疾病）导致的虚火灼伤肺阴，虽然喉咙疼痛，但仅腐烂表层皮肤，没有深孔，大多无法治愈；如果是风热引起的喉症，其腐烂部位仅在咽喉两侧。
痈疽溃破后经过很长时间，伤口仍不能愈合收口。患处的肉芽组织日渐凸起、凹陷或翻花状生长，小的像梅子李子，大的像碗盘，质地僵硬且疼痛，疮势令人畏惧，脓水腥臭逼人，难以靠近；或者疮面上先有白色的厚腐皮，随后皮面又长出密密麻麻的芒刺，以及变化出各种世间罕见的奇形怪状，这都是罪孽所致，无药可治，最终只会拖延时日而已。
效野每逢夏季，经常发现出土的灰蛇，其洞穴外常有蛇吐出的毒沫，狗的口鼻一旦接触到这种毒液，就会患上狂犬病（疯狂）。也有因为食用腐尸，或因过度饥饿而发疯的。如果人被狗咬伤皮肤，或者仅仅咬破衣服，毒气都会侵入体内，随即发出犬吠声，数日后死亡。有的患者在一个月或两个月后，感觉全身麻木，神志昏乱，或者听到饮食声音就惊恐不安，虽然有多种治疗方法，但没有能救活的。
妇女乳房中心生出硬结，起初像梅子，逐渐增大如李子，疼痛不剧烈，拖延久了才会化脓，称为乳心疽。如果是寡居或未婚女子患病，就会发展成乳岩（乳腺癌），男子患此病也同样难以治疗，应当多服用化坚汤。
党参 当归 青皮 玉竹 香附 僵蚕 白芍 佛手 郁金
There are throat conditions that are difficult to distinguish and must be carefully differentiated. In cases where men or women have syphilitic toxins accumulated internally within the zang-fu organs, although no sores have yet appeared on the body, or in children who have inherited the toxin in the womb, sudden onset of sore throat occurs with mild redness and swelling. However, the epiglottis (Diding) around the four sides rapidly ulcerates, forming several deep holes with white putrid tissue. The patient, due to ignorance, is unaware of the condition; the physician must inquire whether the patient has been infected with syphilis. Only by identifying the root cause can treatment be effective. Internally administer bitter-cold herbs to clear and descend the fire; externally apply Bingpeng San (Ice and Borax Powder), adding a small amount of Qinfen (Calomel) and Shengyao (Red Sublimate), and insufflate into the lesion using a milk-blower instrument. If treatment is delayed, the epiglottis may fall off, perforating through to the nasal cavity, and spreading to ulcerate the lips and mouth, often leading to death. Alternatively, it may perforate the fontanelle, creating a "sky-opening" deformity, resulting in disfigurement. If the condition is caused by deficiency-fire burning the lungs due to consumption diseases (Laozheng), although there is throat pain, only the superficial skin ulcerates without deep holes, and it is mostly incurable. In contrast, for throat conditions caused by wind-heat, the ulceration is located only on both sides of the throat.
When carbuncles and sores have ulcerated for a long time but fail to heal, the wound edges become progressively convex, concave, or everted with flower-like growths. They may be small like plums or apricots, or large like bowls or plates, becoming stiff and painful, with a terrifying progression. The pus may be foul-smelling and repulsive, or white thick putrid skin may appear on the wound surface, followed by the growth of dense thorn-like projections on the skin surface, changing into all kinds of bizarre shapes rarely seen in the world. These are attributed to karmic retribution and are incurable, ultimately leading only to prolonged suffering and death.
Xiaoye observes that during summer, earthworm snakes often emerge. Outside their burrows, snake venom foam is present. If a dog's mouth or nose touches this venom, it develops rabies (madness). Madness can also result from eating carrion or extreme hunger. If a person is bitten, breaking the skin, or even if only clothing is bitten, the toxin invades the body, causing the victim to bark like a dog, leading to death within days. Some patients feel numbness throughout the body and mental confusion one or two months later, or exhibit fear upon hearing sounds related to food and drink. Although various treatments exist, none have succeeded in saving the patient.
When a nodule forms in the center of a woman's breast, initially resembling a plum and gradually enlarging to the size of an apricot, with little pain, it eventually suppurates after a long period. This is called Ruxin Ju (Breast-Center Carbuncle). If it occurs in widows or unmarried women, it develops into Ru Yan (Breast Rock/Cancer); it is also difficult to treat when occurring in men. It should be treated with frequent administration of Huajian Tang (Hardness-Dissolving Decoction).
Codonopsis Radix (Dangshen, 党参) Angelicae Sinensis Radix (Danggui, 当归) Citri Reticulatae Pericarpium (Qingpi, 青皮) Polygonati Odorati Rhizoma (Yuzhu, 玉竹) Cyperi Rhizoma (Xiangfu) Bombyx Batryticatus (Jiangcan) Paeoniae Radix Alba (Baishao) Bergamot Fruit (Foshou) Curcumae Longae Rhizoma (Yujin)